Upper GI endoscopy with biopsy at Lewis County General Hospital. CPT 43239.
What Lewis County General Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$1,093cash price (self-pay)
$1,329list price
$233–$1,329range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicaid | $233 |
| EXCELLUS | Medicaid | $233 |
| FIDELIS | Medicaid | $233 |
| MVP | Medicaid | $233 |
| United Healthcare | Medicaid | $233 |
| Mvp | Commercial | $236 |
| Aetna | Medicare | $332 |
| Cdphp | Medicare | $332 |
| Excellus | Medicare | $332 |
| Fidelis | Medicare | $332 |
| Humana | Medicare | $332 |
| Tricare | Commercial | $332 |
| Martins Point | Commercial | $332 |
| Mvp | Medicare | $332 |
| United Healthcare | Medicare | $332 |
| Wellcare | Medicare | $332 |
| Ghi/Emblem Health | Commercial | $432 |
| Aetna | Commercial | $581 |
| Excellus | Commercial | $830 |
| Empire | Commercial | $830 |
| Cdphp | Commercial | $864 |
| United HealthCare | COMMERCIAL | $997 |
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